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Individual
MR. OLASUPO FAGBENLE
Active
Individual
MR. OLASUPO FAGBENLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8744914
NY
1041C0700X
Clinical Social Worker
P48013
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8744914
THE UNIVERSITY OF THE STATE OF NEW YORK, EDUCATION DEPARTMENT
NY
Enumeration date
11/28/2006
Last updated
01/05/2015
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